Vitamin and Mineral Nutrition Information System (VMNIS) WHO Global Database on Iodine Deficiency The database on iodine deficiency includes data by country on goitre prevalence and/or urinary iodine concentration

TUNISIA Last Updated: 2007-05-22

Goitre Urinary iodine (µg/L) Notes prevalence (%) Distribution (%) Prevalence (%) Age Sample Grade Grade TGP <20 20-49 50-99100-299 >300 <100 Median Mean SD Reference General Line Level Date Region and sample descriptor Sex (years) size 1 2 N 1996 -1997 National: Pre-SAC: Total B 0.00 - 6.99 113 1.7 6.7 22.5 30.9 2485 * National: SAC: Total B 6.00 - 9.99 94 0.7 4.3 21.4 26.4 National: PW: Total F 19.00 - 40.99 23 0.0 8.3 10.4 18.7 National: LW: Total F 17.00 - 45.99 69 2.0 13.3 42.1 57.4 Pre-SAC by sex F 0.00 - 6.99 57 3.7 4.8 27.2 35.7 Pre-SAC by sex M 0.00 - 6.99 56 0.0 8.4 18.5 26.9 Pre-SAC by area: Urban B 0.00 - 6.99 62 0.9 8.1 22.6 31.6 Pre-SAC by area: Rural B 0.00 - 6.99 51 3.3 4.3 22.4 30.0 Nord Ouest region: Pre-SAC B 0.00 - 6.99 23 0.0 6.9 10.2 17.1 SAC by sex F 6.00 - 9.99 47 0.0 5.2 22.9 28.6 SAC by sex M 6.00 - 9.99 47 1.4 3.5 20.0 24.9 SAC by area: Urban B 6.00 - 9.99 39 0.0 0.0 16.0 16.0 SAC by area: Rural B 6.00 - 9.99 55 1.3 8.1 26.1 35.5 Nord Ouest region: SAC B 6.00 - 9.99 43 1.7 2.6 22.9 27.2 PW by area: Urban F 19.00 - 40.99 12 0.0 10.4 7.2 23.1 PW by area: Rural F 19.00 - 40.99 11 0.0 3.7 17.2 20.9 LW by area: Urban F 17.00 - 45.99 25 1.5 9.1 44.2 54.8 LW by area: Rural F 17.00 - 45.99 44 2.4 16.3 40.7 59.4 Nord Ouest region: LW F 17.00 - 45.99 39 1.5 6.3 49.7 57.5

D 1993 governotate: SAC: Total B 8.00 - 10.99 221 46.2 38.9 14 99.1 28 1559 * SAC by delegation: Ain Draham B 8.00 - 10.99 29 31 52 17 100 SAC by delegation: Boussalem B 8.00 - 10.99 38 35 51.3 11 97.3 SAC by delegation: B 8.00 - 10.99 29 59 28 13 100 SAC by delegation: Gardimaou B 8.00 - 10.99 47 65 26 9 100 SAC by delegation: Jendouba B 8.00 - 10.99 60 45 40 15 100 SAC by delegation: B 8.00 - 10.99 18 26 43 26 95.0 SAC by town: B 8.00 - 10.99 61 11.5 62.3 26.2 100 39 Jendouba governorate: SAC: Total B 8.00 - 10.99 1675 33.8 2.4 36.3 * SAC by sex F 8.00 - 10.99 797 32.4 2.1 34.9 SAC by sex M 8.00 - 10.99 878 35.2 2.7 38.0 SAC by delegation: Ain Draham B 8.00 - 10.99 223 31.8 0.0 31.8 SAC by delegation: Boussalem B 8.00 - 10.99 286 40.9 1.8 42.7 SAC by delegation: Fernana B 8.00 - 10.99 217 38.7 2.8 41.5 SAC by delegation: Gardimaou B 8.00 - 10.99 358 22.3 0.0 22.3 SAC by delegation: Jendouba B 8.00 - 10.99 457 39.7 6.6 46.3 SAC by delegation: Tabarka B 8.00 - 10.99 134 24.6 0.0 24.6 SAC by town: Bizerte B 8.00 - 10.99 61 3.3

© WHO Global Database on Iodine Deficiency Vitamin and Mineral Nutrition Information System (VMNIS) WHO Global Database on Iodine Deficiency The database on iodine deficiency includes data by country on goitre prevalence and/or urinary iodine concentration

TUNISIA Last Updated: 2007-05-22

Goitre Urinary iodine (µg/L) Notes prevalence (%) Distribution (%) Prevalence (%) Age Sample Grade Grade TGP <20 20-49 50-99100-299 >300 <100 Median Mean SD Reference General Line Level Date Region and sample descriptor Sex (years) size 1 2

© WHO Global Database on Iodine Deficiency NOTES

TUNISIA

Reference no 2485 General Notes: Two-stage cluster sampling with probability proportionate to size; urinary iodine measured only for subsample (10%).

Reference no 1559 General Notes: Sample comprised of SAC selected from 6 delegations of Jendouba governorate and Bizerte town.

© WHO Global Database on Iodine Deficiency R E F E R E N C E S TUNISIA

Reference 1559 Hsairi M, Ben Slama F, Ben Rayana C, Fakhfakh R, Ben Romdhane H, Vester A, Kallal Z, Achour N. Prévalence du goitre endémique dans une région du nord ouest de la Tunisie - 1993 [Prevalence of endemic goiter in the north western region of Tunisia - 1993]. Tunisie Médicale, 1994, 72 :663-669.

Reference 2485 Ministère de la Santé Publique, Institut National de Nutrition. Rapport national: évaluation de l'état nutritionnel de la population tunisienne [National report: evaluation of the nutritional status of the Tunisian population]. Tunis, Ministère de la Santé Publique, 1996.

© WHO Global Database on Iodine Deficiency ADDITIONAL REFERENCES TUNISIA

Reference 469 WHO Regional Office for the Eastern Mediterranean. Data from 1981 National Prevalence Survey. World Health Organization, Regional Office for the Eastern Mediterranean, 1992.

Reference 474 Sayegh J. Quotes data from 1975 and 1981 IDD prevalence surveys [personal communication]. Tunis, World Health Organization, 1992.

Reference 1558 el May MV, Bourdoux P, Ben Slimane F, Ben Abdallah M, Mtimet S. Fairly elevated incidence of goiter with marginally low urinary iodine in adolescents living in the north- western part of Tunisia [letter]. European Journal of Epidemiology, 1997, 13 :363-365.

Reference 1560 el May MV, Bourdoux P, Boukhris K, Mtimet S. Paradoxical urinary iodine concentration in an endemic goitre area of Tunisia. European Journal of Epidemiology, 1994, 10 :353-354.

Reference 2537 Tunisian National Institute of Nutrition and Food Technoloy. 1973-1975 Tunisian National Nutrition Survey [preliminary report]. 1976.

Reference 3140 El Hadjem Nora. Iodine deficiency disorders. Republic of Tunisia, Public Health Ministry, Primary Health Care Dept, 2001.

Reference 4871 [Anonymous]. Tunisie Enquête de Grappes à Indicateurs Multiples (MICS2) [Tunisia Multiple Indicator Cluster Survey (MICS2)]. Tunis, United Nations Children's Fund, 2000.

© WHO Global Database on Iodine Deficiency